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Effect of information motivation behavioral skills model based dietary patterns on carotid atherosclerosis in elderly hypertensive patients.

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Τίτλος: Effect of information motivation behavioral skills model based dietary patterns on carotid atherosclerosis in elderly hypertensive patients.
Συγγραφείς: Yu B; Department of Electrophysiology, The First Hospital of Qiqihar, No. 30, Park Road, Longsha District, Qiqihar, 161000, Heilongjiang, China. yubeiguang@qmu.edu.cn., Pu L; Department of Respiratory Medicine I, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China., Liu S; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China., Lu S; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China., Han G; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China., He D; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
Πηγή: Scientific reports [Sci Rep] 2025 Dec 08; Vol. 15 (1), pp. 43319. Date of Electronic Publication: 2025 Dec 08.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
Imprint Name(s): Original Publication: London : Nature Publishing Group, copyright 2011-
Ιατρικοί όροι (MeSH): Hypertension*/complications , Hypertension*/diet therapy , Carotid Artery Diseases*/etiology , Carotid Artery Diseases*/diet therapy , Motivation*, Humans ; Aged ; Male ; Female ; Retrospective Studies ; Quality of Life ; Carotid Intima-Media Thickness ; Middle Aged ; Health Behavior ; Aged, 80 and over ; Information Motivation Behavioral Skills Model
Περίληψη: Since hypertension exacerbates carotid arteries atherosclerosis among the elderly, this study aimed to find whether dietary pattern alteration can alleviate this effect using the Information-Motivation-Behavioral (IMB) Skills Model. In a retrospective cohort study with a 3-month follow-up, 1000 elderly hypertensive patients admitted between June 2022 and June 2023 were categorized into two groups: a Non-IMB group (n = 480) following a standard low-salt, low-fat diet and an IMB model-based diet group (n = 520). Propensity score matching ensured comparable baseline characteristics. Over three months, the IMB group received comprehensive dietary education and support. Primary outcomes measured were changes in CIMT and plaque scores, assessed via carotid ultrasound. Secondary measures included motivation for health-related behaviors, cardiovascular health, and quality of life. The IMB group showed a significant reduction in CIMT (1.05 ± 0.30 mm) compared to the Non-IMB group (1.20 ± 0.35 mm, P < 0.001). Plaque scores decreased significantly in the IMB group (1.80 ± 0.32) versus the Non-IMB group (1.97 ± 0.41, P < 0.001). Multivariate analysis highlighted adherence to the IMB dietary pattern as the strongest predictor of improved CIMT and plaque scores, with an odds ratio of 7.807 (95% CI 5.851 to 10.417, P < 0.001). While significant improvements were noted in dietary intake patterns and blood pressure parameters, motivational and cardiovascular health metrics showed no statistically significant differences between groups. The potential applicability of the IMB dietary framework in clinical strategies aimed at mitigating atherosclerosis progression and managing cardiovascular risk in this demographic.
(© 2025. The Author(s).)
Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethical statement: This study adhered to ethical principles, with informed consent obtained from all participants. The study was approved by the Ethics Committee of the Second Affiliated Hospital of Qiqihar Medical University (No. 2024-01-23).
References: World J Clin Cases. 2024 Jul 16;12(20):4031-4033. (PMID: 39015908)
JACC Cardiovasc Imaging. 2024 Jan;17(1):62-75. (PMID: 37823860)
Age Ageing. 1994 May;23(3):182-4. (PMID: 8085500)
J Clin Med. 2024 Nov 16;13(22):. (PMID: 39598055)
Int J Mol Sci. 2023 Sep 20;24(18):. (PMID: 37762627)
Int J Low Extrem Wounds. 2024 Aug 23;:15347346241275243. (PMID: 39175377)
Front Immunol. 2023 Dec 14;14:1265387. (PMID: 38155969)
Circ Res. 2024 May 24;134(11):1405-1423. (PMID: 38639096)
Tob Prev Cessat. 2024 Feb 02;10:. (PMID: 38313659)
Sci Rep. 2024 Mar 22;14(1):6890. (PMID: 38519534)
Oxid Med Cell Longev. 2016;2016:3583956. (PMID: 26697131)
J Clin Med. 2024 Mar 05;13(5):. (PMID: 38592348)
Circ Res. 2023 Sep 29;133(8):674-686. (PMID: 37675562)
Arch Med Sci. 2019 Oct;15(6):1388-1396. (PMID: 31749866)
Arterioscler Thromb Vasc Biol. 2024 Apr;44(4):930-945. (PMID: 38385291)
Zhen Ci Yan Jiu. 2024 Jun 25;49(6):611-617. (PMID: 38897805)
Rheumatology (Oxford). 2023 Nov 2;62(11):3584-3591. (PMID: 36897031)
Cardiovasc Res. 2023 Dec 19;119(16):2594-2606. (PMID: 37475157)
BMC Public Health. 2022 Oct 11;22(1):1892. (PMID: 36221126)
Epilepsy Behav. 2023 Oct;147:109408. (PMID: 37677905)
ANS Adv Nurs Sci. 2024 Jan-Mar 01;47(1):73-88. (PMID: 36477381)
Cerebrovasc Dis. 2007;23(1):75-80. (PMID: 17108679)
Mol Pharm. 2024 Apr 1;21(4):1777-1793. (PMID: 38478900)
Pol Arch Intern Med. 2019 Jan 31;129(1):12-21. (PMID: 30600311)
Arterioscler Thromb Vasc Biol. 2023 Dec;43(12):2312-2332. (PMID: 37881939)
Int J Behav Med. 2025 Aug;32(4):561-573. (PMID: 38409484)
Healthc Inform Res. 2018 Apr;24(2):125-138. (PMID: 29770246)
World J Clin Cases. 2024 Aug 26;12(24):5549-5557. (PMID: 39188613)
Sci Rep. 2023 Dec 6;13(1):21481. (PMID: 38057414)
Rom J Morphol Embryol. 2023 Oct-Dec;64(4):483-491. (PMID: 38184828)
Heliyon. 2023 Nov 28;9(12):e22929. (PMID: 38076044)
Lancet Neurol. 2023 Dec;22(12):1102-1103. (PMID: 38372220)
Health Educ Res. 2007 Oct;22(5):691-702. (PMID: 17138613)
Eat Weight Disord. 2022 Feb;27(1):361-372. (PMID: 34097285)
Geriatr Nurs. 2024 Jan-Feb;55:52-63. (PMID: 37972436)
Cardiovasc Res. 2023 Oct 16;119(12):2244-2255. (PMID: 37486354)
Grant Information: LSFGG-2024064 Qiqihar Science and Technology Program Joint Guidance Project
Contributed Indexing: Keywords: Carotid artery atherosclerosis; Carotid vascular ultrasound; Dietary pattern; Elderly hypertensive patients; Information-motivation-behavioral model; Retrospective cohort study
Entry Date(s): Date Created: 20251208 Date Completed: 20251208 Latest Revision: 20251211
Update Code: 20260130
PubMed Central ID: PMC12685943
DOI: 10.1038/s41598-025-27175-7
PMID: 41360840
Βάση Δεδομένων: MEDLINE
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  – Url: https://dx.doi.org/doi:10.1038/s41598-025-27175-7
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  Data: Effect of information motivation behavioral skills model based dietary patterns on carotid atherosclerosis in elderly hypertensive patients.
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  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Yu+B%22&quot;&gt;Yu B&lt;/searchLink&gt;; Department of Electrophysiology, The First Hospital of Qiqihar, No. 30, Park Road, Longsha District, Qiqihar, 161000, Heilongjiang, China. yubeiguang@qmu.edu.cn.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Pu+L%22&quot;&gt;Pu L&lt;/searchLink&gt;; Department of Respiratory Medicine I, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Liu+S%22&quot;&gt;Liu S&lt;/searchLink&gt;; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Lu+S%22&quot;&gt;Lu S&lt;/searchLink&gt;; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Han+G%22&quot;&gt;Han G&lt;/searchLink&gt;; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22He+D%22&quot;&gt;He D&lt;/searchLink&gt;; Department of Electrophysiology, , The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
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  Data: Since hypertension exacerbates carotid arteries atherosclerosis among the elderly, this study aimed to find whether dietary pattern alteration can alleviate this effect using the Information-Motivation-Behavioral (IMB) Skills Model. In a retrospective cohort study with a 3-month follow-up, 1000 elderly hypertensive patients admitted between June 2022 and June 2023 were categorized into two groups: a Non-IMB group (n = 480) following a standard low-salt, low-fat diet and an IMB model-based diet group (n = 520). Propensity score matching ensured comparable baseline characteristics. Over three months, the IMB group received comprehensive dietary education and support. Primary outcomes measured were changes in CIMT and plaque scores, assessed via carotid ultrasound. Secondary measures included motivation for health-related behaviors, cardiovascular health, and quality of life. The IMB group showed a significant reduction in CIMT (1.05 &#177; 0.30&#160;mm) compared to the Non-IMB group (1.20 &#177; 0.35&#160;mm, P &amp;lt; 0.001). Plaque scores decreased significantly in the IMB group (1.80 &#177; 0.32) versus the Non-IMB group (1.97 &#177; 0.41, P &amp;lt; 0.001). Multivariate analysis highlighted adherence to the IMB dietary pattern as the strongest predictor of improved CIMT and plaque scores, with an odds ratio of 7.807 (95% CI 5.851 to 10.417, P &amp;lt; 0.001). While significant improvements were noted in dietary intake patterns and blood pressure parameters, motivational and cardiovascular health metrics showed no statistically significant differences between groups. The potential applicability of the IMB dietary framework in clinical strategies aimed at mitigating atherosclerosis progression and managing cardiovascular risk in this demographic.&lt;br /&gt; (&#169; 2025. The Author(s).)
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  Data: Declarations. Competing interests: The authors declare no competing interests. Ethical statement: This study adhered to ethical principles, with informed consent obtained from all participants. The study was approved by the Ethics Committee of the Second Affiliated Hospital of Qiqihar Medical University (No. 2024-01-23).
– Name: Ref
  Label: References
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        StartPage: 43319
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Aged
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Retrospective Studies
        Type: general
      – SubjectFull: Quality of Life
        Type: general
      – SubjectFull: Carotid Intima-Media Thickness
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Health Behavior
        Type: general
      – SubjectFull: Aged, 80 and over
        Type: general
      – SubjectFull: Information Motivation Behavioral Skills Model
        Type: general
      – SubjectFull: Hypertension complications
        Type: general
      – SubjectFull: Hypertension diet therapy
        Type: general
      – SubjectFull: Carotid Artery Diseases etiology
        Type: general
      – SubjectFull: Carotid Artery Diseases diet therapy
        Type: general
      – SubjectFull: Motivation
        Type: general
    Titles:
      – TitleFull: Effect of information motivation behavioral skills model based dietary patterns on carotid atherosclerosis in elderly hypertensive patients.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Yu B
      – PersonEntity:
          Name:
            NameFull: Pu L
      – PersonEntity:
          Name:
            NameFull: Liu S
      – PersonEntity:
          Name:
            NameFull: Lu S
      – PersonEntity:
          Name:
            NameFull: Han G
      – PersonEntity:
          Name:
            NameFull: He D
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 08
              M: 12
              Text: 2025 Dec 08
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-electronic
              Value: 2045-2322
          Numbering:
            – Type: volume
              Value: 15
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Scientific reports
              Type: main
ResultId 1